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Nutr Metab Cardiovasc Dis. 2014 Sep;24(9):969-75. doi: 10.1016/j.numecd.2014.03.004. Epub 2014 Mar 28.

Body adiposity index and incident hypertension: the Aerobics Center Longitudinal Study.

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  • 1Department of Education, University Jaume I, Castellón, Spain. Electronic address:
  • 2Area of Physical Education and Sport, University of Almería, Almería, Spain.
  • 3Department of Exercise Science, University of South Carolina, Columbia, SC, USA.
  • 4Department of Physical Education, School of Education, University of Cadiz, Puerto Real, Spain.
  • 5Department of Kinesiology, Iowa State University, Ames, IA, USA.
  • 6Department of Exercise Science, University of South Carolina, Columbia, SC, USA; Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA.



The body adiposity index (BAI) has been recently proposed as a new method to estimate the percentage of body fat. The association between BAI and hypertension risk has not been investigated yet. The aim of our study was to evaluate the ability of BAI to predict hypertension in males and females compared with traditional body adiposity measures.


The present follow-up analysis comprised 10,309 individuals (2259 females) free of hypertension from the Aerobics Center Longitudinal Study, who completed a baseline examination between 1988 and 2003. Body adiposity measures included BAI, body mass index (BMI), waist circumference, hip circumference, percentage of body fat and waist to hip ratio (WHR). Incident hypertension was ascertained from responses to mail-back surveys between 1990 and 2004. During an average of 9.1 years of follow-up, 872 subjects (107 females) became hypertensive. Hazard ratios (HRs) and 95% confidence intervals (95% CI) showed that males in the highest categories of all body adiposity measures showed a higher incident risk of hypertension (HRs ranged from 1.37 to 2.09). Females showed a higher incident risk of hypertension only in the highest categories of BAI, BMI and WHR (HRs ranged from 1.84 to 3.36).


Our results suggest that in order to predict incident hypertension BAI could be considered as an alternative to traditional body adiposity measures.

Copyright © 2014 Elsevier B.V. All rights reserved.


Adiposity; Adults; Blood pressure; Body composition; Obesity

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